Author(s): March Villalba JA, Martnez Jabaloyas JM, Pastor Hernndez F, Gnthner Stefan FJ, Rodrguez Navarro R,
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Abstract INTRODUCTION: Radical cystectomy in elderly is a controversial issue that increases importance overtime because average life span is growing. OBJECTIVE: The purpose of our work was to analize the differences about perioperative and later outcomes between ages of patients with muscle-invasive bladder neoplasm treated with radical cystectomy. MATERIAL AND METHODS: We retrospectively reviewed the records of patients who underwent radical cystectomy for muscle-invasive bladder cancer. Two age groups were compared: < 70-years-old at time of cystectomy (n = 55) and > or = 70 years (n = 57). RESULTS: There was no difference between both age groups about: time of surgery, intraoperative complications (< 70 = 21,8\%, > or = 70 = 31,6\%), postoperative mortality (< 70 = 3,6\%, > or = 70 = 8,8\%), minor (< 70 = 18,2\%, > or = 70 = 26,3\%) and major medical postoperative complications (< 70 = 7,3\%, > or = 70 = 8,8\%), late outcomes as cancer-specific morby-mortality and actuarial overall survival stratified by patient age. The rate of major postoperative complications (< 70 = 23,6\%, > or = 70 = 43,9\%) as well as the mean length of hospital stay (< 70 = 10,2, > or = 70 = 15,2 days) differed significantly between the two age groups. Age and cardiovascular risk factors were independient predictive factors of mayor postoperative complications. CONCLUSIONS: Radical cystectomy could be performed in carefully selected elderly patients.
This article was published in Actas Urol Esp
and referenced in Journal of Gerontology & Geriatric Research